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1104210566
KEVIN HENDERSON
COLUMBUS, GA
NPI
1104210566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC 008295)
Enumeration Date
2015-03-24
Last Update Date
2015-03-24
Business Address
-- KEVIN HENDERSON
6791 MITCHELL DR
COLUMBUS, GA 31907-3735
Phone number: 706-304-8420
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Mailing Address
-- KEVIN HENDERSON
6791 MITCHELL DR
COLUMBUS, GA 31907-3735
Phone number: 706-304-8420
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